Computer decision support changes physician practice but not knowledge regarding autism spectrum disorders
dc.contributor.author | Bauer, Nerissa S. | |
dc.contributor.author | Carroll, Aaron E. | |
dc.contributor.author | Saha, Chandan K. | |
dc.contributor.author | Downs, Stephen M. | |
dc.contributor.department | Department of Pediatrics, Indiana University School of Medicine | en_US |
dc.date.accessioned | 2015-08-13T13:17:46Z | |
dc.date.available | 2015-08-13T13:17:46Z | |
dc.date.issued | 2015 | |
dc.description.abstract | Objective: To examine whether adding an autism module promoting adherence to clinical guidelines to an existing computer decision support system (CDSS) changed physician knowledge and self-reported clinical practice. Methods: The CHICA (Child Health Improvement through Computer Automation) system, a CDSS, was enhanced with a module to improve management of autism in 2 of the 4 community pediatric clinics using the system. We examined the knowledge and beliefs of pediatric users using cross-sectional surveys administered at 3 time points (baseline, 12 months and 24 months post-implementation) between November 2010 and January 2013. Surveys measured knowledge, beliefs and self-reported practice patterns related to autism. Results: A total of 45, 39, and 42 pediatricians responded at each time point, respectively, a 95-100% response rate. Respondents’ knowledge of autism and perception of role for diagnosis did not vary between control and intervention groups either at baseline or any of the two post-intervention time points. At baseline, there was no difference between these groups in rates in the routine use of parent-rated screening instruments for autism. However, by 12 and 24 months post-implementation there was a significant difference between intervention and control clinics in terms of the intervention clinics consistently screening eligible patients with a validated autism tool. Physicians at all clinics reported ongoing challenges to community resources for further work-up and treatment related to autism. Conclusions: A CDSS module to improve primary care management of ASD in pediatric practice led to significant improvements in physician-reported use of validated screening tools to screen for ASDs. However it did not lead to corresponding changes in physician knowledge or attitudes. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | Bauer NS, Carroll AE, Saha C, Downs SM. Computer decision support changes physician practice but not knowledge regarding autism spectrum disorders. Applied Clinical Informatics. 2015; 6(3): 454-465. http://dx.doi.org/10.4338/ACI-2014-09-RA-0084 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/6635 | |
dc.language.iso | en_US | en_US |
dc.publisher | Schattauer | en_US |
dc.relation.isversionof | 10.4338/ACI-2014-09-RA-0084 | en_US |
dc.relation.journal | Applied Clinical Informatics | en_US |
dc.rights | IUPUI Open Access Policy | en_US |
dc.source | Author | en_US |
dc.subject | computer-based decision support | en_US |
dc.subject | pediatrics | en_US |
dc.subject | clinical guidelines | en_US |
dc.title | Computer decision support changes physician practice but not knowledge regarding autism spectrum disorders | en_US |
dc.type | Article | en_US |